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September 20,  2019

Advancing Public Policies for People with Mental Illness, Chemical Dependency or Developmental Disabilities   

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Francine Sinkoff, Editor
Albany County to represent nationwide 'neogiating class' in opioid suit

Albany County unlikely model for Greene jail

Albany Med, Glens Falls Hospital agree to affiliation - Albany/Warren Counties

Suicide Prevention Coalition of Saratoga County receives grant

Saratoga County Jail tries new tact for veterans, addicts

New primary care center coming to Ticonderoga - Essex

New mental health clinic offers more services in St. Lawrence County

Two new mental health initiatives to focus on children living with trauma - Monroe

Oswego County to get Federal funding to fight drug epidemic

Experts say suicide rate in Erie County is dropping

Horizon Health Services plans Lockport expansion - Niagara
Learning from Loss: Using Suicide Fatality Reviews for Effective Prevention Activities 
Image result for spcny

The Suicide Prevention Center of New York (SPCNY) was recently awarded a grant from the New York State Health Foundation to develop, test, and refine a formal in-depth suicide review process in four counties greatly impacted by suicide: Erie, Onondaga, Suffolk, and Westchester. The purpose of the grant is twofold: first, to ensure accurate and complete data collection by medical examiner investigations of suicide deaths; and second, to conduct in-depth community reviews of suicide deaths looking for systemic patterns.
The innovative model being piloted in NY is based on a program successfully implemented in Oregon where a multidisciplinary team of representatives (e.g. medical examiners team, healthcare providers, law enforcement, crisis workers, clergy, and other community partners) share information during in-depth reviews of suicides after obtaining permission from next of kin. Read more here.

When New Yorkers Report A Mental Health Crisis, Who Should Respond?

Most providers don't screen for social determinants of health

Every hospital needs 'recovery coaches' for patients with substance use problems

Those Coming Off Opioids Can Face Tripled Risk of OD in Later Years

Working on drug recovery inside correctional facilities

Open Minds: The Five VBR Competencies I/DD & LTSS Organizations Need
September 2019 OMH News

The latest issue of the New York State Office of Mental Health's newsletter, OMH News, has been published to the OMH website here.
This edition discusses some of the ways that OMH and its programs are reaching out to eliminate disparities in behavioral health care in New York State.

The Essential Role of Juvenile Diversion
September 23, 11 am - 12:30 pm, Office of Juvenile Justice and Delinquency Prevention

Quality and Efficiency - the Value Combination in Psychiatric Practice
September 24, 11 am - 12 pm, National Council for Behavioral Health

Suicide Stratification Risk Model and the Role of Pharmacists in Suicide Education and Prevention
September 25, 12 - 1 pm, PsychU

Monitor, Evaluate and Respond: Use Measurement to Demonstrate Performance
September 25, 12:30 - 1:30 pm, HCBS Business Acumen Center

September 26, 1 - 2 pm, OMH

Expanding the Continuum to Support Long-Term Recovery
September 26, 2:30 - 3:30 pm, National Council for Behavioral Health

PSYCKES Train the Trainer
October 2, 10 - 11 am, OMH

The Real-World Impact of Integrated Medical-Behavioral Healthcare
October 2, 1 - 2 pm, National Council for Behavioral Health

Keeping Medicaid's Promise for Children With Special Healthcare Needs
October 2, 3 - 4:30 pm, Manatt Health 

A Clinical Discussion of Mixed States in Bipolar Disorder
October 8, 12 - 1 pm, PsychU

Using PSYCKES for Clinicians
October 9, 10 - 11:30 am, OMH

Involving Families in Community Mental Health, A Win-Win Proposition
October 9, 2 - 3 pm, National Council for Behavioral Health

Enable Access to Client-Level Data in PSYCKES
October 17, 3 - 4 pm, OMH

Tackling Opioid Addiction: A Case Study With Shatterproof & Kolmac Clinic
October 22, 12 - 1 pm, PsychU

PSYCKES Mobile App for iPhones & iPads
October 22, 1 - 2 pm, OMH



CLMHD BH Portal Webinar: Other Resources - Statewide Planning & Research Cooperative System (SPARCS)
September 25: 12 - 12:30 pm, GTM

CLMHD Mental Hygiene Planning Committee Meeting
September 26: 1 - 3 pm, GTM


CLMHD Executive Committee Call
October 2: 8 am

CLMHD BH Portal Webinar: Other Resources - New York State Health Connector
October 9: 12 - 12:30 pm, GTM

CLMHD Office Closed - Columbus Day
October 14

CLMHD Children & Families Committee Meeting
October 15: 11:30 am - 1 pm, GTM

CLMHD BH Portal Webinar: Other Resources - The Opportunity Atlas/ Index
October 23: 12 - 12:30 pm, GTM

CLMHD State Agency Day
October 30: 9:30 am - 4 pm, IN-PERSON - Albany

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
CLMHD Holds 2019 Fall Full Membership Meeting in Lake Placid

DCSs from across the state recently convened for CLMHD's 2019 Fall Full Membership Meeting, which was held on September 10-11 in Lake Placid.

Monday's agenda included presentations by Ryan Ashe, Director, DOH Medicaid Payment Reform & Healthcare Innovation, and  Denard Cummings, Director of DOH's Bureau of Social Determinants of Health. Ashe reviewed the State's overall progress toward Value Based Payment, specifically with respect to behavioral health quality measures and future positioning for treatment providers with VBP contractors. Following this presentation, Cummings provided a detailed overview of the State's efforts to advance creative ways of addressing the social determinants in our communities as they impact health and behavioral health. 

Ryan Ashe, Director, DOH Medicaid Payment Reform & Healthcare Innovation

On Tuesday, members heard first from Steve Hanson, OASAS Associate Commissioner of Treatment, and Dennis Reilly, Statewide Drug Court Coordinator, NYS Office of Court Administration, who discussed the implementation of ten new opioid courts across the state which were funded as part of the State's Opioid Response (SOR) grant. Following this presentation, Jonathan Ciampi, CEO of Bright Heart Health, introduced members to his company's new Telehealth MAT and Outpatient Treatment Program and its plans for expanding virtual outpatient opioid use and substance use disorder programs in New York. The day concluded with a presentation by Stephanie Marquesano, Founder & CEO of the harris project, who was joined by a panel of DCSs from the Mid-Hudson region. The group
provided details about how their region has worked since 2017, both at a local and regional level, to create a growing and effective Co-Occurring System of Care.  

Stephanie Marquesano, Founder & CEO of the harris project

The Conference would like to recognize Michael Ranney,  CRC-R LMHC, who will be retiring this November. Michael has worked for more than 30 years for Erie County, most recently as Director of Community Services. Thank you, Michael, for  all of the valuable time and input you've given to CLMHD - congratulations and we wish you the best! 
NYS Department of Health Announces Release of DSRIP Waiver Extension for Public Comment

States have mixed results when coordinating patient care and addressing the social determinants of health to manage healthcare costs for high-cost Medicaid beneficiaries, according to a new Government Accountability Office report released Thursday.The New York State Department of Health today announced that it has released for public comment a proposal to extend New York's Medicaid Delivery System Reform Incentive Payment (DSRIP) waiver for an additional period of four years and seek an additional $8 billion in federal funding for continued support of health care transformation in the state. Public comments are due by November 4, 2019, prior to the Department's submission of a formal waiver extension request to the Centers for Medicare and Medicaid Services (CMS) in November of this year.

"Transforming Medicaid to improve health outcomes and make it more cost-effective has been a priority in New York State under Governor Cuomo's leadership,"said New York State Department of Health Commissioner Dr. Howard Zucker."Extending our Delivery System Reform Incentive Payment waiver is vital to building upon our success." Read more here.

Additional articles of interest from Crain's Health Pulse

State to request $8 billion extension Medicaid waiver, including DSRIP money

States Focus on High-Risk Patients to Drop Medicaid Spending

States have mixed results when coordinating patient care and addressing the social determinants of health to manage healthcare costs for high-cost Medicaid beneficiaries, according to a new Government Accountability Office report released Thursday.

The GAO found that all the states surveyed offered care management assistance to providers to better manage physical and mental health conditions for fee-for-service beneficiaries. Most of the states also contracted with managed care organizations to care for high-cost beneficiaries for a fixed payment. Many of the states used other strategies to control expenditures for high-cost beneficiaries such as case managers, mandatory care management services for particular fee-for-service beneficiaries and home health programs.

But these efforts have had inconsistent results. While some states reported that they'd experienced a decrease in care costs and utilization for their high-expenditure beneficiaries, others said their findings were mixed or inconclusive. Read more here.
SAMHSA Advisory: Mental and Substance Use Disorder Treatment for People With Physical and Cognitive Disabilities

Mental and Substance Use Disorder Treatment for People With Physical and Cognitive Disabilities
This  Advisory highlights how mental and substance use disorder (SUD) treatment programs can better serve people with physical and cognitive disabilities and SUDs and/or serious mental illness (SMI). The most current prevalence data, from 2016, estimated that 61.4 million noninstitutionalized U.S. adults had one or more disabilities. SMI and co-occurring SUDs are generally considered disabilities under federal disability rights laws. This publication is not intended to provide guidance on complying with federal, state, or local disability rights laws. This Advisory includes some recommendations that are required, may be required, or may exceed the requirements of the federal, state, or local disability rights laws.
New York State Expands Early Intervention Service for Young Adults with Schizophrenia

The Office of Mental Health recently announced an expansion of the state-run program that helps young adults with newly emerging psychotic symptoms.

OnTrackNY provides young adults with innovative, team-based psychiatric treatment, employment and educational services, as well as family education and support at locations throughout New York State. New York State has received a $4.9 million federal grant to fund 2 new OnTrackNY teams downstate.

The New York State Psychiatric Institute, which runs the OnTrackNY program, was one of 15 awardees of the five-year SAMHSA Healthy Transitions grant. Read more here.
National Council for Behavioral Health: New White Paper on Value-Based Payment Models for Behavioral Health

In the spring of 2019, the National Council for Behavioral Health partnered with the Center for Health Care Strategies to conduct an environmental scan of value-based payment models for behavioral health services. The culminating report, Behavioral Health Provider Participation in Medicaid Value-based Payment Models: An Environmental Scan and Policy Considerations, details existing models, where they are being adopted and highlights lessons learned and recommendations for state and federal policymakers.
Key To Community-Based Success- 'Partnerships, Partnerships, Partnerships' 
If you are a specialist organization operating today, payer preferences for community-based care and care coordination is changing the market landscape -and bringing with it new strategic challenges. Delivering "best practice" home- and community-based services requires collaborative, interdisciplinary teams capable of delivering services designed to support integration and inclusion.

While there are many discrete services being delivered in the community, there are fewer coordinated service programs-with longitudinal coordination across the medical/behavioral/social system. At our recent 2019 OPEN MINDS Management Best Practices Institute session, we heard from executives of two organizations that are making this work. Jeffrey Friedman, Chief Executive Officer, CN Guidance and Counseling Services and Mark McHugh, President & Chief Executive Officer, Envision Unlimited shared their current models and their best practices for building a consumer-focused community-based program model. My takeaway - provider organization management teams need to focus on consumer-centered care models that can "meet consumers where they are."  Read more here .
The Conference of Local Mental Hygiene Directors advances public policies and awareness for people with mental illness, chemical dependency and developmental disabilities.  We are a statewide membership organization that consists of the Commissioner/ Director of each of the state's 57 county mental hygiene departments and the mental hygiene department of the City of New York.